Chief Complaint: red itchy skin
Western Diagnosis: psoriasis
Medical History: 38 year old male with psoriasis for 10 years. He believes it was caused by photo-processing chemicals. He has been treated with steroid-family injections but relief is temporary. He also uses creams, Ultravate and Duvanex to control itching. His pulse is slow and he exercises regularly.
Questioning exam: He states the psoriasis lesions worsen in winter, with stress, and possibly with spicy food.